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General NPI Number Information
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NPI Number | 1427598994
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Entity Type | Individual
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Provider Name | VICTORIA HUMMEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
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City | APO
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State | AE
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Zip | 09180
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Country | DE
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Telephone | 314-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019405
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License Number State | PA
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